Cornual pregnancy is a rarely occurring variant of ectopic pregnancy with often unspecific symptoms, what makes the diagnosis very difficult. Its early detection is a key factor for using less invasive treatment and pre­serving fertility.

The article presents a case of a 41-year-old nullipara in her fourth pregnancy, after unilateral resection of adnexa because of the tubal pregnancy, with the diagnosis of the cornual pregnancy. She was treated lapa­ro­scopically, i.e. the cornual resection was performed. The postoperative period was uneventful.

Early diagnosis and treatment made it possible to minimize the risk connected with this life-threatening entity.